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Phase 3 monotherapy available Feature Expected GI burden Cagrilintide + Retatrutide Very high CagriSema (Cag + Sema) High Retatrutide Alone High Feature Dysesthesia risk Cagrilintide + Retatrutide Yes (retatrutide component) CagriSema (Cag + Sema) No Retatrutide Alone Yes Feature Injections per week Cagrilintide + Retatrutide 2 (separate) or 1 (pre-blend) CagriSema (Cag + Sema) 1 or 2 Retatrutide Alone 1 Feature Regulatory status Cagrilintide + Retatrutide Neither approved

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American College of Obstetricians and Gynecologists (ACOG)

PMID 40789979 2025 review emphasizing the gap between preclinical and human evidence

These medications can be especially helpful for people who also experience chronic pain alongside anxiety, since norepinephrine plays a role in pain processing